JOHNNIE DOMINICA JOHNSON FNP
NPI 1043601057
Nurse Practitioner - Family in South Holland, IL

Active since February 12, 2015PECOS EnrolledAccepts Medicare Assignment
100 W 162ND ST, SOUTH HOLLAND, IL 60473(708) 730-2200 Get Directions Write a Review

NPPES record last updated: March 11, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 11, 2025, Jul 25, 2023, Apr 12, 2023 and 2 more (5 updates tracked since 2022).

About Johnnie Dominica Johnson Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOHNNIE DOMINICA JOHNSON FNP (NPI 1043601057) is an individual family provider in South Holland, Illinois, licensed in Illinois (277-001345) and active in the NPI registry since February 2015. She is enrolled in Medicare PECOS, is affiliated with Advocate Trinity Hospital, and maintains a secondary practice location in Long Grove.

NPPES Registry Identity

NPI1043601057
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJOHNNIE DOMINICA JOHNSONCredential: FNP
Location Address100 W 162ND STSouth Holland, IL 60473-2003
Mailing Address29373 Network PlChicago, IL 60673-1293 · (847) 390-5900
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateFebruary 12, 2015
Last NPPES UpdateMarch 11, 20255 updates tracked since enumeration
NPPES CertifiedMarch 11, 2025
NPI 1043601057 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses Licensed in IL · 277-001345 Licensed in IL · 209012407
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 277001345 (IL)
100 W 162ND ST, South Holland, IL 60473

Other Names 1

Professional Name (2)Johnnie Dominica Johnson Fnp-bc

Secondary Practice Location 1

Location 13880 Salem Lake Dr Ste FLong Grove, IL 60047-5292 · Phone (847) 719-2220 · Fax (847) 719-2265

Other Identifiers 1

Medicaid277001345IL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Johnnie Dominica Johnson Fnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9133445125
PECOS Enrollment IDI20150310002297
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
129 services33 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
68 services30 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
15 services15 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Advocate Trinity Hospital

Acute Care Hospitals · Chicago, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140048
Location2320 E 93rd StChicago, IL 60617 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60473 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
100 W 162ND ST
SOUTH HOLLAND, IL 60473
Family Medicine
100 W 162ND ST
SOUTH HOLLAND, IL 60473
Clinic/Center (Multi-Specialty)
100 W 162ND ST
SOUTH HOLLAND, IL 60473
Family Medicine
100 W 162ND ST
SOUTH HOLLAND, IL 60473
Pediatrics
100 W 162ND ST
SOUTH HOLLAND, IL 60473
Internal Medicine
100 W 162ND ST
SOUTH HOLLAND, IL 60473
Internal Medicine
100 W 162ND ST
SOUTH HOLLAND, IL 60473
Family Medicine
100 W 162ND ST
SOUTH HOLLAND, IL 60473

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Johnnie Johnson's NPI number?

The NPI number for Johnnie Johnson is 1043601057. It was assigned to this individual provider in the NPPES registry on February 12, 2015. The provider is also known as Johnnie Dominica Johnson Fnp-Bc.

Where is Johnnie Johnson located?

Johnnie Johnson practices at 100 W 162nd St, South Holland, IL 60473. The listed phone number is (708) 730-2200.

What is Johnnie Johnson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Johnnie Johnson enrolled in Medicare?

Yes. Johnnie Johnson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Johnnie Johnson affiliated with any hospitals?

According to CMS data, Johnnie Johnson is affiliated with Advocate Trinity Hospital.

When was this NPI record last updated?

The NPPES record for Johnnie Johnson was last updated on March 11, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.